Lethargy - Duo Mei

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Definition

Feeling lethargic or sleepy all the time day and night. Can be waken up but back to sleep again soon after. Sleepiness in the course of febrile diseases and other chronic disease is not included in this discussion.

Causes and pathological mechanisms

Patterns

Dampness and Phlegm prevalence

  • Symptoms: Happens in damp, wet and rainy seasons or overweight individuals. Sleepiness with heavy feeling in the body, stuffy chest and a poor appetite.
  • Tongue: White and greasy tongue coating
  • Pulse: Soggy
  • Treatment strategy: Dry dampness and invigorate spleen
  • Formula: Ping Wei San
  • Acupoints:

Spleen Qi Deficiency

  • Symptoms: Sleepiness and tiredness after eating.
  • Tongue: Normal
  • Pulse: Normal
  • Treatment strategy: Supplement middle qi and strengthen spleen
  • Formula: Liu Jun Zi Tang
  • Acupoints:

Yang Deficiency

  • Symptoms: Happens after major illness or in old age, sleepiness with poor appetite, aversion to cold with cold limbs, spontaneous sweating, lack of vitality, indolence of speech.
  • Tongue:
  • Pulse: Weak
  • Treatment strategy: Warm yang and tonify qi
  • Formula: For middle yang deficiency use Li Zhong Tang, for middle qi collapsing use Bu Zhong Yi Qi Tang
  • Acupoints:

References

Articles

Books


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